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Posterior approach for arthroscopic reduction and antegrade fixation of avulsion fracture of the posterior cruciate ligament from the tibia with cannulated screw and washer
Veselko, Matjaž ; Saciri, Valdet
Avulsion fracture of the posterior cruciate ligament (PCL) is a rare condition, and arthroscopically assisted reattachment of the surgical fixationof the fragment is not always an easy task. Only a ...few reports describe techniques for arthroscopic fixation of avulsion of the PCL.We reporton a case treated arthroscopically with reduction and antegrade fixationof an avulsion fracture of the tibial attachment of the PCL with a cannulated screw and washer through an additional posterolateral portal. Postoperative morbidity was reduced, and rehabilitation was accelerated. Fixation with a cannulated screw and washer is technically simple and allows for stable fixation and immediate postoperative mobilization and pain-limited weight-bearing, even in cases of a comminuted fragment. The safe zone for an additional posterolateral portal and the technique for placing instruments anda guidewire to avoid neurovascular structures is defined.
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